Faculty of Medicine and Dentistry MD Program, University of Alberta, Edmonton, Canada.
Department of Community Health Sciences, University of Calgary, Calgary, Canada.
J Clin Epidemiol. 2022 Jul;147:142-150. doi: 10.1016/j.jclinepi.2022.03.019. Epub 2022 Mar 29.
To understand trainee experiences of participating in a living systematic review (LSR) for rheumatoid arthritis and the potential benefits in terms of experiential evidence-based medicine (EBM) education.
We conducted a mixed-methods study with trainees who participated in the LSR and who were recruited broadly from training programs in two countries. Trainees received task-specific training and completed one or more tasks in the review: assessing article eligibility, data extraction, and quality assessment. Trainees completed a survey followed by a one-on-one interview. Data were triangulated to produce broad themes.
Twenty one trainees, most of whom had a little prior experience with systematic reviews, reported a positive overall experience. Key benefits included learning opportunities, task segmentation (ability to focus on a single task, as opposed to an entire review), working in a supportive environment, international collaboration, and incentives such as authorship or acknowledgment. Trainees reported improvement in their competency as a Scholar, Collaborator, Leader, and Medical Expert. Challenges included communication and technical difficulties and appropriate matching of tasks to trainee skillsets.
Participating in an LSR provided benefits to a wide range of trainees and may provide an opportunity for experiential EBM training, while helping LSR sustainability.
了解参与者在类风湿关节炎的活体系统评价（LSR）中体验，以及在经验循证医学（EBM）教育方面的潜在获益。
我们开展了一项混合方法研究，参与者是来自两个国家培训项目的广泛招募的学员。学员接受了特定任务的培训，并完成了一项或多项审查任务：评估文章的合格性、数据提取和质量评估。学员完成了一项调查，随后进行了一对一的访谈。数据进行了三角分析以得出广泛的主题。
21 名学员，其中大多数之前只有很少的系统评价经验，报告了积极的总体体验。主要获益包括学习机会、任务分解（能够专注于单个任务，而不是整个审查）、在支持性环境中工作、国际合作以及作者身份或认可等激励措施。学员报告说，他们在学者、合作者、领导者和医学专家方面的能力有所提高。挑战包括沟通和技术困难，以及将任务与学员技能相匹配的问题。
参与 LSR 为广泛的学员提供了获益，并可能为经验循证医学培训提供机会，同时有助于 LSR 的可持续性。
